24,575 results match your criteria Anesthesiology[Journal]


Respiratory Physiology for the Anesthesiologist.

Anesthesiology 2019 Apr 12. Epub 2019 Apr 12.

From the Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts (L.B.) the Department of Emergency, Anesthesia and Critical Care, Foundation IRCCS Ospedale Maggiore Policlinico, and Department of Surgical Pathophysiology and Transplantation, University of Milan, Milan, Italy (A.P.).

Respiratory function is fundamental in the practice of anesthesia. Knowledge of basic physiologic principles of respiration assists in the proper implementation of daily actions of induction and maintenance of general anesthesia, delivery of mechanical ventilation, discontinuation of mechanical and pharmacologic support, and return to the preoperative state. The current work provides a review of classic physiology and emphasizes features important to the anesthesiologist. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002666DOI Listing

Automated Ambulatory Blood Pressure Measurements and Intraoperative Hypotension in Patients Having Noncardiac Surgery with General Anesthesia: A Prospective Observational Study.

Anesthesiology 2019 Apr 15. Epub 2019 Apr 15.

From the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine (B.S., P.C.R., C.B., J.Y.N., S.S.) the Department of Medical Biometry and Epidemiology (H.O.P.) University Medical Center Hamburg-Eppendorf, Hamburg, Germany the Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio (D.I.S.) the Department of Anesthesiology and Intensive Care Medicine, University Medical Center Rostock, Rostock, Germany (D.A.R.).

What We Already Know About This Topic: Intraoperative hypotension is associated with significant postoperative complicationsIntraoperative hypotension has been defined relative to preinduction blood pressureBlood pressure varies during the day, and the relationship between preinduction blood pressure and usual blood pressure over 24 h is incompletely describedSimilarly the relationship between low blood pressure intraoperatively and 24-h usual blood pressure is unknown WHAT THIS ARTICLE TELLS US THAT IS NEW: There is a poor correlation between preinduction blood pressure and the usual blood pressure over 24 hIn two thirds of patients, the lowest postinduction and intraoperative pressures were lower than the lowest nighttime blood pressure BACKGROUND:: Normal blood pressure varies among individuals and over the circadian cycle. Preinduction blood pressure may not be representative of a patient's normal blood pressure profile and cannot give an indication of a patient's usual range of blood pressures. This study therefore aimed to determine the relationship between ambulatory mean arterial pressure and preinduction, postinduction, and intraoperative mean arterial pressures. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002703DOI Listing

Preparation for and Management of "Failed" Laryngoscopy and/or Intubation.

Authors:
Richard M Cooper

Anesthesiology 2019 May;130(5):833-849

From the Department of Anesthesia, Faculty of Medicine, University of Toronto and University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.

An airway manager's primary objective is to provide a path to oxygenation. This can be achieved by means of a facemask, a supraglottic airway, or a tracheal tube. If one method fails, an alternative approach may avert hypoxia. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002555DOI Listing

Delirium after Cardiac Surgery and Cognitive Change: Reply.

Anesthesiology 2019 May;130(5):859

Johns Hopkins University School of Medicine, Baltimore, Maryland (C.H.B.).

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http://dx.doi.org/10.1097/ALN.0000000000002699DOI Listing

Delirium after Cardiac Surgery and Cognitive Change: Comment.

Anesthesiology 2019 05;130(5):857-859

Vanderbilt University Medical Center, Nashville, Tennessee (C.B.).

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http://dx.doi.org/10.1097/ALN.0000000000002698DOI Listing
May 2019
1 Read

Respiratory Muscle Effort during Weaning: Reply.

Anesthesiology 2019 May;130(5):857

Amsterdam UMC, VUmc, The Netherlands (L.H.).

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http://dx.doi.org/10.1097/ALN.0000000000002697DOI Listing

Respiratory Muscle Effort during Weaning: Comment.

Anesthesiology 2019 05;130(5):856-857

Gazi University School of Medicine, Ankara, Turkey (U.Ö.)

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http://dx.doi.org/10.1097/ALN.0000000000002696DOI Listing
May 2019
1 Read

β-Lactam Allergy in the Operating Theater: Reply.

Anesthesiology 2019 05;130(5):855-856

Academic Medical Center, AMC Amsterdam, Amsterdam, The Netherlands (J.H.).

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http://dx.doi.org/10.1097/ALN.0000000000002690DOI Listing

β-Lactam Allergy in the Operating Theater: Comment.

Anesthesiology 2019 05;130(5):854-855

University of Toronto, Toronto, Ontario, Canada (L.V.).

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http://dx.doi.org/10.1097/ALN.0000000000002689DOI Listing

β-Lactam Allergy in the Operating Theater: Comment.

Anesthesiology 2019 May;130(5):853-854

University of British Columbia, Vancouver, British Columbia, Canada (A.T.M.).

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http://dx.doi.org/10.1097/ALN.0000000000002688DOI Listing

Inflammation Drives Pulmonary Arterial Hypertension.

Anesthesiology 2019 May;130(5):820-821

From the Department of Anesthesia and Pain Medicine, Hospital for Sick Children (Sickkids), and Sickkids Research Institute, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1097/ALN.0000000000002561DOI Listing
May 2019
1 Read

Risky Sleep with Chloral Hydrate: Did Dracula Fail Frankenstein?

Authors:

Anesthesiology 2019 May;130(5):777

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http://dx.doi.org/10.1097/ALN.0000000000002745DOI Listing
May 2019
1 Read

Monitoring Cardiac Output: A Big Problem for Little Patients.

Anesthesiology 2019 May;130(5):A19

Vanderbilt University Medical Center Brigham and Women's Health Care/Harvard Medical School.

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http://dx.doi.org/10.1097/ALN.0000000000002749DOI Listing

This Month in Anesthesiology.

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Anesthesiology 2019 May;130(5):A5-A6

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http://dx.doi.org/10.1097/ALN.0000000000002746DOI Listing

A novel approach to neuraxial anesthesia: application of an automated ultrasound spinal landmark identification.

BMC Anesthesiol 2019 Apr 16;19(1):57. Epub 2019 Apr 16.

Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore, Singapore.

Background: Neuraxial procedures are commonly performed for therapeutic and diagnostic indications. Currently, they are typically performed via palpation-guided surface landmark. We devised a novel intelligent image processing system that identifies spinal landmarks using ultrasound images. Read More

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http://dx.doi.org/10.1186/s12871-019-0726-6DOI Listing

Validity of mini-fluid challenge for predicting fluid responsiveness following liver transplantation.

BMC Anesthesiol 2019 Apr 13;19(1):56. Epub 2019 Apr 13.

Medical ICU, Bicêtre Hospital, Paris-South University, Paris, France.

Background: Mini-fluid challenge is a well tested and effective tool to predict fluid responsiveness under various clinical conditions. However, mini-fluid challenge has never been tested in patients with end-stage liver disease. This study investigated whether infusion of 150 ml albumin 5% can predict fluid responsiveness in cirrhotic patients following liver transplant. Read More

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http://dx.doi.org/10.1186/s12871-019-0728-4DOI Listing

Influence of oral premedication and prewarming on core temperature of cardiac surgical patients: a prospective, randomized, controlled trial.

BMC Anesthesiol 2019 Apr 12;19(1):55. Epub 2019 Apr 12.

Department of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.

Background: Perioperative hypothermia is still very common and associated with numerous adverse effects. The effects of benzodiazepines, administered as premedication, on thermoregulation have been studied with conflicting results. We investigated the hypotheses that premedication with flunitrazepam would lower the preoperative core temperature and that prewarming could attenuate this effect. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-019-0725-7DOI Listing
April 2019
1 Read

General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided.

Anesthesiology 2019 Apr 9. Epub 2019 Apr 9.

From the University of Arkansas for Medical Sciences, Little Rock, Arkansas (J.M.M.) the Stanford University School of Medicine, Palo Alto, California (P.S.).

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http://dx.doi.org/10.1097/ALN.0000000000002708DOI Listing

Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia.

BMC Anesthesiol 2019 Apr 11;19(1):54. Epub 2019 Apr 11.

Department of Obstetrics and Gynecology, Massa Carrara General Hospital, Via Enrico Mattei, 54100, Massa Carrara, Italy.

Background: Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical presentation of spinal epidural hematoma is even rarer and insidious. Read More

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http://dx.doi.org/10.1186/s12871-019-0721-yDOI Listing
April 2019
1 Read

Artificial Intelligence and Machine Learning in Anesthesiology.

Anesthesiology 2019 Apr 5. Epub 2019 Apr 5.

From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital; and the Department of Physiology and Biophysics, Boston University, Boston, Massachusetts.

Commercial applications of artificial intelligence and machine learning have made remarkable progress recently, particularly in areas such as image recognition, natural speech processing, language translation, textual analysis, and self-learning. Progress had historically languished in these areas, such that these skills had come to seem ineffably bound to intelligence. However, these commercial advances have performed best at single-task applications in which imperfect outputs and occasional frank errors can be tolerated. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002694DOI Listing

Central Venous Catheter in the Internal Mammary Vein.

Anesthesiology 2019 Apr 4. Epub 2019 Apr 4.

From the Department of Anesthesia and Perioperative Care, University of California, San Francisco, California.

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http://dx.doi.org/10.1097/ALN.0000000000002702DOI Listing

The Error-berg: Reconceptualizing Medical Error as a Tool for Quality and Safety.

Anesthesiology 2019 Apr 4. Epub 2019 Apr 4.

From the Department of Critical Care Medicine, (M.G., C.P.) the Center for Safety Research (M.G., C.P.) Child Health Evaluative Sciences, The Research Institute, Hospital for Sick Children (C.P.) the Department of Paediatrics (M.G., C.P.) the Interdepartmental Division of Critical Care Medicine (M.G., C.P.) the Institute of Health Policy Management and Evaluation, the Center for Quality Improvement and Patient Safety, and the Faculty of Medicine (C.P.), University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1097/ALN.0000000000002707DOI Listing
April 2019
2 Reads

Postoperative analgesia for pediatric craniotomy patients: a randomized controlled trial.

BMC Anesthesiol 2019 Apr 11;19(1):53. Epub 2019 Apr 11.

Department of Anesthesia, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Road, Xicheng District, Beijing, 100050, China.

Background: Pain is often observed in pediatric patients after craniotomy procedures, which could lead to some serious postoperative complications. However, the optimal formula for postoperative analgesia for pediatric neurosurgery has not been well established. This study aimed to explore the optimal options and formulas for postoperative analgesia in pediatric neurosurgery. Read More

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http://dx.doi.org/10.1186/s12871-019-0722-xDOI Listing
April 2019
2 Reads

Dislocation rates of postoperative airway exchange catheters - a prospective case series of 200 patients.

BMC Anesthesiol 2019 Apr 11;19(1):52. Epub 2019 Apr 11.

Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010, Bern, Switzerland.

Background: The dislocation rate of oral versus nasal airway exchange catheters (AEC) in the postoperative care unit (PACU) are unknown. Our aim was to establish dislocation rates and to assess the usefulness of waveform capnography to detect dislocation.

Methods: In this non-randomized, prospective observational trial at the University Hospital Bern, Switzerland, we included 200 patients admitted to PACU after extubation via AEC, having provided written informed consent. Read More

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http://dx.doi.org/10.1186/s12871-019-0723-9DOI Listing

Effect of forced-air warming by an underbody blanket on end-of-surgery hypothermia: a propensity score-matched analysis of 5063 patients.

BMC Anesthesiol 2019 Apr 9;19(1):50. Epub 2019 Apr 9.

Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan.

Background: Underbody blankets have recently been launched and are used by anesthesiologists for surgical patients. However, the forced-air warming effect of underbody blankets is still controversial. The aim of this study was to determine the effect of forced-air warming by an underbody blanket on body temperature in anesthetized patients. Read More

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http://dx.doi.org/10.1186/s12871-019-0724-8DOI Listing
April 2019
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Cost-effectiveness-analysis of ultrasound guidance for central venous catheterization compared with landmark method: a decision-analytic model.

BMC Anesthesiol 2019 Apr 9;19(1):51. Epub 2019 Apr 9.

Institute for Health Economics and Clinical Epidemiology, The University Hospital of Cologne (AöR), Gleueler Str. 176-178, 50935, Cologne, Germany.

Background: Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from the German perspective, the cost-effectiveness of ultrasound guidance is unclear, this study examined the cost-effectiveness of ultrasound guidance versus the landmark method for adults undergoing a central venous catheterization.

Methods: A decision-tree based model was built to estimate the costs of averted catheter-related complications. Read More

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http://dx.doi.org/10.1186/s12871-019-0719-5DOI Listing

The influences of anesthesia methods on some complications after orthopedic surgery: a Bayesian network meta-analysis.

BMC Anesthesiol 2019 Apr 9;19(1):49. Epub 2019 Apr 9.

Department of Hematology, The First Affliated Hospital of Zhejiang Chinese Medical University, 54 Youdian Road, Hangzhou, Zhejiang Province, People's Republic of China.

Background: Although several anesthesia procedures have been explored for orthopedic surgery, the complications of anesthesia remain not well resolved. This study aimed to explore the influence of different anesthesia methods on the complications after orthopedic surgery.

Methods: According to the searching strategy, anesthesia associated studies in orthopedic surgery were screened from Pubmed, Embase, and the Cochrane Library up to Mar. Read More

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http://dx.doi.org/10.1186/s12871-019-0701-2DOI Listing

Cardioprotective effect of remote ischemic preconditioning with postconditioning on donor hearts in patients undergoing heart transplantation: a single-center, double-blind, randomized controlled trial.

BMC Anesthesiol 2019 Apr 6;19(1):48. Epub 2019 Apr 6.

Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.

Background: The cardioprotective effect of remote ischemic preconditioning (RIPC) in cardiovascular surgery is controversial. This study investigated whether RIPC combined with remote ischemic postconditioning (RIPostC) reduces myocardial injury to donor hearts in patients undergoing heart transplantation.

Methods: One hundred and twenty patients scheduled for orthotopic heart transplantation were enrolled and randomly assigned to an RIPC+RIPostC group (n = 60) or a control (n = 60) group. Read More

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http://dx.doi.org/10.1186/s12871-019-0720-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451775PMC
April 2019
3 Reads
1.333 Impact Factor

Outcomes in video laryngoscopy studies from 2007 to 2017: systematic review and analysis of primary and secondary endpoints for a core set of outcomes in video laryngoscopy research.

BMC Anesthesiol 2019 Apr 4;19(1):47. Epub 2019 Apr 4.

Department of Anaesthesia and Critical Care, University Hospital of Wuerzburg, Wuerzburg, Germany.

Background: Airway management is crucial and, probably, even the most important key competence in anaesthesiology, which directly influences patient safety and outcome. However, high-quality research is rarely published and studies usually have different primary or secondary endpoints which impedes clear unbiased comparisons between studies. The aim of the present study was to gather and analyse primary and secondary endpoints in video laryngoscopy studies being published over the last ten years and to create a core set of uniform or homogeneous outcomes (COS). Read More

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http://dx.doi.org/10.1186/s12871-019-0716-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449905PMC

Disruption of Rapid Eye Movement Sleep Homeostasis in Adolescent Rats after Neonatal Anesthesia.

Anesthesiology 2019 Mar 13. Epub 2019 Mar 13.

From the Department of Anesthesiology (N.L., N.A., C.K., Z.Z.) Department of Neurology (H.P.G.), University of Virginia Health System, Charlottesville, Virginia School of Medicine (R.S.) Department of Pharmacology and Neuroscience Graduate Program (K.A.S.) Department of Pharmacology (M.P.B.), University of Virginia, Charlottesville, Virginia.

What We Already Know About This Topic: Anesthesia in adult rodents has been associated with alterations in sleep architecture that persist up to 18 h after anesthesia WHAT THIS ARTICLE TELLS US THAT IS NEW: Anesthesia with isoflurane, nitrous oxide, and midazolam on postnatal day 7 is associated with alterations in sleep architecture three weeks later in adolescent rats BACKGROUND:: Previous studies suggest that rapid eye movement sleep rebound and disruption of rapid eye movement sleep architecture occur during the first 24 h after general anesthesia with volatile anesthetics in adult rats. However, it is unknown whether rapid eye movement sleep alterations persist beyond the anesthetic recovery phase in neonatal rats. This study tested the hypothesis that rapid eye movement sleep disturbances would be present in adolescent rats treated with anesthesia on postnatal day 7. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002660DOI Listing
March 2019
2 Reads

Syncopated Tempi of the Anesthetized Brain.

Anesthesiology 2019 Mar 28. Epub 2019 Mar 28.

From the Department of Anaesthesia and Pain Medicine, Waikato Clinical School, University of Auckland, Hamilton, New Zealand.

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http://dx.doi.org/10.1097/ALN.0000000000002695DOI Listing

Dynamic Cortical Connectivity during General Anesthesia in Surgical Patients.

Anesthesiology 2019 Mar 28. Epub 2019 Mar 28.

From the Department of Anesthesiology (P.E.V., D.L., M.Z., A.P.L., K.I.I., A.M.M., G.A.M.) the Center for Consciousness Science (P.E.V., D.L., G.A.M.) the Neuroscience Graduate Program (G.A.M.), University of Michigan Medical School Ann Arbor, Michigan the Department of Psychology, University of Michigan, Ann Arbor, Michigan (K.I.I.).

What We Already Know About This Topic: Animal data, along with recent human observations (in this issue of ANESTHESIOLOGY*), suggest that cortical oscillations and connectivity shift dynamically during what appears to be stable general anesthesiaClinical evidence in the perioperative setting to support these observations is currently lacking WHAT THIS ARTICLE TELLS US THAT IS NEW: During anesthesia and surgery, cortical networks display a dynamic interplay among brain states, rather than a static equilibriumThese findings suggest that a single measure of connectivity may not be a reliable correlate of surgical anesthesia depth BACKGROUND:: Functional connectivity across the cortex has been posited to be important for consciousness and anesthesia, but functional connectivity patterns during the course of surgery and general anesthesia are unknown. The authors tested the hypothesis that disrupted cortical connectivity patterns would correlate with surgical anesthesia.

Methods: Surgical patients (n = 53) were recruited for study participation. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002677DOI Listing
March 2019
5 Reads

Pediatric Risk Stratification Is Improved by Integrating Both Patient Comorbidities and Intrinsic Surgical Risk.

Anesthesiology 2019 Mar 28. Epub 2019 Mar 28.

From the Division of Cardiac Anesthesia (V.G.N., J.A.D.) Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts (S.J.S., D.Z.) the Division of Cardiac Anesthesia, Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario Canada (D.F).

What We Already Know About This Topic: Risk stratification models to predict perioperative mortality in pediatric surgical populations are based on patient comorbidities, but do not take into consideration the intrinsic risk of the surgical procedures.

What This Article Tells Us That Is New: Surgical procedures identified by specialty are not independent risk factors for perioperative mortality in pediatric patients. However, in multivariable predictive algorithms, the interaction of patient comorbidities with the intrinsic risk of the surgical procedure strongly predicts 30-day mortality. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002659DOI Listing
March 2019
5 Reads

Dynamic Cortical Connectivity during General Anesthesia in Healthy Volunteers.

Anesthesiology 2019 03 28. Epub 2019 Mar 28.

From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan (D.L., P.E.V., G.A.M.) the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (M.B.K.) the Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri (M.S.A.). From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia From the Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri From the Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri From the Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri.

What We Already Know About This Topic: Anesthetic-induced loss of consciousness is accompanied by changes in functional connectivity within and between brain networks.

What This Article Tells Us That Is New: Despite a stable surgical level of anesthesia and the absence of noxious stimuli, connectivity patterns are not static but rather fluctuate dynamically and nonrandomly over time. These results suggest that single or static connectivity patterns may not be able to discriminate levels of consciousness. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002656DOI Listing
March 2019
5 Reads

A prospective study on elective surgical inpatient satisfaction with perioperative anaesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia.

BMC Anesthesiol 2019 Apr 1;19(1):46. Epub 2019 Apr 1.

Mekelle University College of Health Science Department of Anesthesia, Po-box 1871, Mekelle, Ethiopia.

Background: Patient satisfaction is a subjective and challenging perception, linking physical, expressive, psychological, societal, and cultural factors. Dissatisfaction arises if the patient feels an inconsistency between expected and delivered care. Usually health care satisfactions are very high and according to many studies levels of satisfaction are above 85% and patient's satisfaction in terms of anesthesia is not very different. Read More

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http://dx.doi.org/10.1186/s12871-019-0696-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444526PMC

A comparison of blind intubation with the intubating laryngeal mask FASTRACH™ and the intubating laryngeal mask Ambu Aura-i™ a prospective randomised clinical trial.

BMC Anesthesiol 2019 Mar 30;19(1):44. Epub 2019 Mar 30.

Department of Anaesthesiology and Intensive Care Medicine, Asklepios Hospital St. Georg, Lohmuehlenstr. 5, D-20099, Hamburg, Germany.

Background: The intubating laryngeal mask Fastrach™ is considered a gold standard for blind intubation as well as for fibreoptic guided intubation via a laryngeal mask. Recently, a single use version of the mask has been introduced. We compared the Fastrach single use with the new, low-priced single use intubating laryngeal mask Ambu Aura-i™. Read More

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http://dx.doi.org/10.1186/s12871-019-0718-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441151PMC
March 2019
1 Read

Assessment of agreement and interchangeability between the TEG5000 and TEG6S thromboelastography haemostasis analysers: a prospective validation study.

BMC Anesthesiol 2019 Mar 30;19(1):45. Epub 2019 Mar 30.

Department of Anaesthesia, Austin Hospital, 145 Studley Rd, Heidelberg, Victoria, 3084, Australia.

Background: TEG6S® and TEG5000® (Haemonetics Corp, USA) are haemostasis analysers that measure viscoelasticity properties of whole blood. Both use different mechanisms to assess similar components of the coagulation process. The aim of this study was to assess agreement and interchangeability between the TEG6S and TEG5000 analysers. Read More

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http://dx.doi.org/10.1186/s12871-019-0717-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441230PMC

Influence of early elective tracheostomy on the incidence of postoperative complications in patients undergoing head and neck surgery.

BMC Anesthesiol 2019 Mar 28;19(1):43. Epub 2019 Mar 28.

Department of Anesthesiology of the University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Background: The incidence of postoperative complications after head and neck surgery is high. This study evaluated the influence of early elective tracheostomy on the incidence of postoperative pneumonia and delirium.

Methods: We reviewed the data of all patients who had undergone removal of an oropharyngeal tumor and microsurgical tissue transfer at our department in a two year period. Read More

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http://dx.doi.org/10.1186/s12871-019-0715-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439993PMC
March 2019
1 Read

If We Don't Learn from Our Critical Events, We're Likely to Relive Them: Debriefing Should Be the Norm.

Anesthesiology 2019 Mar 25. Epub 2019 Mar 25.

From Harvard Medical School and the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

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http://dx.doi.org/10.1097/ALN.0000000000002692DOI Listing

Practicalities of Total Intravenous Anesthesia and Target-controlled Infusion in Children.

Anesthesiology 2019 Mar 25. Epub 2019 Mar 25.

From the Department of Anaesthesiology, University of Auckland, Auckland, New Zealand (B.J.A.) the Department of Anaesthesia, Birmingham Women's and Children's Hospital, Birmingham, United Kingdom (O.B.).

Propofol administered in conjunction with an opioid such as remifentanil is used to provide total intravenous anesthesia for children. Drugs can be given as infusion controlled manually by the physician or as automated target-controlled infusion that targets plasma or effect site. Smart pumps programmed with pharmacokinetic parameter estimates administer drugs to a preset plasma concentration. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002657DOI Listing

Nitrous oxide occupational exposure in conscious sedation procedures in dental ambulatories: a pilot retrospective observational study in an Italian pediatric hospital.

BMC Anesthesiol 2019 Mar 27;19(1):42. Epub 2019 Mar 27.

Occupational Medicine, Health Directorate, Bambino Gesù Children's Hospital - IRCCS, Piazza di Sant'Onofrio 4, 00165, Rome, Italy.

Background: Nitrous oxide has a proven clinical efficacy in conscious sedation. At certain environmental concentrations it may pose a health risk to chronically exposed healthcare workers. The present pilot study aims at evaluating the exposure to nitrous oxide of dental ambulatory personnel of a pediatric hospital. Read More

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http://dx.doi.org/10.1186/s12871-019-0714-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438021PMC

Extracorporeal Arteriovenous Ultrasound Measurement of Cardiac Output in Small Children.

Anesthesiology 2019 05;130(5):712-718

From the Department of Pediatric Anesthesiology and Intensive Care Medicine, Children's Hospital, University Hospital of Lund, Lund, Sweden (T.S.S., A.A., L.L.) the Department of Anesthesiology and Intensive Care Medicine, Landspítalinn, University Hospital of Iceland, Reykjavík, Iceland (T.S.S.).

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Technology for cardiac output (CO) and blood volume measurements has been developed based on blood dilution with a small bolus of physiologic body temperature saline, which, after transcardiopulmonary mixing, is detected with ultrasound sensors attached to an extracorporeal arteriovenous loop using existing central venous and peripheral arterial catheters. This study aims to compare the precision and agreement of this technology to measure cardiac output with a reference method, a perivascular flow probe placed around the aorta, in young children. The null hypothesis is that the methods are equivalent in precision, and there is no bias in the cardiac output measurements. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002582DOI Listing

Respiratory Variation of Internal Carotid Artery Blood Flow Peak Velocity Measured by Transfontanelle Ultrasound to Predict Fluid Responsiveness in Infants: A Prospective Observational Study.

Anesthesiology 2019 05;130(5):719-727

From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Jongno-gu, Seoul, Republic of Korea (E-H-.K., J-H.L., H-S.K., Y-E.J., J-T.K.) the Department of Anesthesiology and Pain Medicine, Asan Medical Center, Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea (I.-K.S.).

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Cranial sonography is a widely used point-of-care modality in infants. The authors evaluated that the respiratory variation of the internal carotid artery blood flow peak velocity as measured using transfontanelle ultrasound can predict fluid responsiveness in infants.

Methods: This prospective observational study included 30 infants undergoing cardiac surgery. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002526DOI Listing

Can the Brain Predict Fluid Responsiveness?

Anesthesiology 2019 May;130(5):674-676

From the Department of Emergency Medicine, The Royal Children's Hospital, Parkville, Victoria; the Murdoch Children's Research Institute, Parkville; the Department of Pediatrics, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Victoria, Australia (E.L.) the Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, Virginia (P.E.M.).

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http://dx.doi.org/10.1097/ALN.0000000000002587DOI Listing
May 2019
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Babies and Children at Last: Pediatric Cardiac Output Monitoring in the Twenty-first Century.

Anesthesiology 2019 May;130(5):671-673

From the Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles Medical Center, Los Angeles, California.

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http://dx.doi.org/10.1097/ALN.0000000000002673DOI Listing